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Safety & side effects

Selank side effects and safety data

StatusNot FDA approved

PeptideHound Staff · Last editorially reviewed · 15 sources

Selank, a research compound studied in Russia as an anti-anxiety peptide, has a human safety record made of short patient trials that measured anxiety first and harm second. Only one trial scored side effects on a formal scale, and it found fewer of a tranquilliser's side effects when Selank was added, rather than a list of Selank's own.

That 2015 trial in 70 patients is the centre of the record. Patients given the benzodiazepine phenazepam with Selank had less of its attention and memory trouble, sedation and fatigue than patients on phenazepam alone. A 2001 paper describes Selank as not causing side effects typical of most anxiolytics, which is a claim the authors make rather than a measured result.

None of the patient trials reports a placebo arm, and the longest documented course is 14 days. The animal work adds stressed-rat studies in which Selank lessened damage to the liver and gut, and a mouse stem cell screen that found no toxic effect on early development, though Selank cut one type of nerve cell by 61 per cent.

No FDA approval appears among the sources behind this page. A 2008 Russian paper describes Selank as having completed third-phase clinical testing in Russia, and a 2026 review records a current lack of clinical trials.

Evidence: 1 trial measured tolerability on a formal side-effect scale, as an add-on to phenazepam (n=70) · 3 patient trials against a benzodiazepine, no placebo arm reported · longest documented patient course 14 days · organ findings in stressed rats only · 1 embryonic stem cell screen

Is Selank a safe peptide, and how safe is it?

human pilot / early trial

The record supports a narrower statement than either question asks. Selank has been given to small groups of patients in short Russian trials, 62, 60 and 70 people in the three anxiety studies, and none of their summaries describes a serious problem, but none of the trials was built to find one. The trials were set up to test anxiety relief, with one 2014 study framed as a study of the efficacy and tolerability of the new anxyolytic peptide selank in comparison with phenazepam.1 The strongest safety-shaped line in the literature is an author's summary: a 2001 paper describes Selank as a peptide that attenuates behavioral anxiety reactions and does not cause side effects typical of most anxiolytics.2 That sentence explains why the compound was studied. It is not a measurement, and it does not tell a reader what happens to a person outside a clinic, over months, with other medicines on board.

What side effects are documented for Selank?

human RCT

Very few, and the one trial that measured them properly reported them for a different compound. A 2015 trial compared monotherapy with phenazepam (30 patients) and complex treatment with selank and phenazepam (40 patients) in anxiety disorders.3 In that trial, tolerability was evaluated using the UKU scale, a standard psychiatric checklist of side effects.3 What the scale picked up was that the combined treatment decreased the level of undesirable side-effects of phenazepam in those patients.3 The abstract does not list side effects that belonged to Selank itself. That could mean there were none worth reporting, or that the summary left them out, and the abstract alone cannot tell the two apart. The other patient studies measured anxiety, blood enzymes or immune signals, and their summaries are silent on harm. Silence in a study that did not ask is a gap, rather than a clean result.

Does Selank cause sedation or memory problems?

human RCT

This is the question that matters most for an anti-anxiety compound, and it is the one area with a direct comparison. Classical tranquillisers are the reason it was asked: a 2018 paper notes that their use presents a wide spectrum of clinical issues such as dependence, memory impairment and etc.4 In the 2015 add-on trial, the side effects of phenazepam that fell when Selank was added included attention and memory impairment, asthenia, sedation and increase in sleep duration, asthenia meaning weakness and fatigue.3 In rats, Selank did not affect the level of general locomotor activity, which is how a sedating compound usually shows itself in animals.5 Together that points away from sedation, but read it carefully. Less sedation alongside a benzodiazepine is not the same as a direct test of Selank on its own against a placebo, and that study does not appear among these sources.

How long does the human safety record for Selank run?

human pilot / early trial

Two weeks is the longest course whose length is stated, and the follow-up after stopping runs about a week. The longest stated course is from a 2008 immune study, in patients with generalized anxiety disorder and neurasthenia who received Selank during 14 days.6 The 2014 comparison followed patients past the end of treatment, reporting that the anxiolytic effect lasted for a week after last receiving the peptide.1 The one placebo-controlled study was shorter still, scanning 52 healthy participants before and after a single injection.7 A safety record measured in days and weeks says nothing about what months or years of use might do, and that gap is what most questions about long-term use are asking about.

Is it safe to take Selank every day?

animal model

Daily use has been studied only in short runs, and the animal work hints that more is not simply stronger. In mice, a route comparison gave heptapeptide selank at 300 μg/kg/day for 5 days.8 A 2008 study found that low doses after a single injection worked in mice, but Selank did not exert significant effect after repeated injection or after injection in high doses (600 and 900 microg/kg).5 In rats given it before each of many stress sessions, the maximum stress-limiting effect was attained after administration of 300 μg/kg Selank, rather than at the highest amount.9 None of that measures harm from daily use. It shows that repeating or raising the amount changed the response in animals, and that a fourteen-day patient course is the longest daily record in people. Whether daily use over months is harmless is a different question, and none of these studies asked it.

Who was excluded from the Selank studies?

human RCT

None of the abstracts publishes an exclusion list, but the inclusion rules show who the results cover. The patient trials recruited by diagnosis, one of them enrolling people with anxiety-phobic, hypochondriac and somatoform disorders under named ICD-10 codes.3 Another enrolled sixty-two patients with generalized anxiety disorder (GAD) and neurasthenia, a label for long-running fatigue and irritability.10 The only people without a diagnosis were the 52 healthy participants of a brain-scan study.7 So the record covers adults with anxiety disorders under psychiatric care, and healthy volunteers for twenty minutes. Children, older adults, pregnant women and people with heart, liver or kidney disease do not appear. Their absence is not a sign of risk, but it means the record does not reach them.

What does Selank interact with?

human RCT

Interactions are the best-studied safety question for Selank, because so much of the work paired it with other compounds that act on the same parts of the brain. At the receptor level, a 2018 study found that Selank is able to block the modulatory activity of Diazepam and Olanzapine, a tranquilliser and an antipsychotic.4 In nerve cells grown in a dish, the authors of a 2017 study suggest that Selank may enhance the effect of olanzapine on the expression of the genes studied.11 In patients, the only tested pairing ran alongside phenazepam, and its effects were recorded during the course of treatment and after the tranquilizer withdrawal.3 Blocking one effect and boosting another are opposite results, so the evidence does not tell a reader whether a mix would be harmless or helpful. The head-to-head work itself is taken apart on the Selank comparison page. For safety, the point is that anyone on an antipsychotic or a tranquilliser is in the group these findings are about, and no human study of the mix covers them.

Is Selank hard on the liver or gut?

animal model

Two rat studies looked at these organs, and both found Selank lessened damage that stress had caused. In rats under chronic foot-shock stress, the stress itself caused hydropic degeneration of hepatocytes, meaning swollen liver cells, along with patches of dead tissue.9 Injection of Selank in all doses reduced the intensity of stress-induced degenerative changes in those rat livers.9 In rats under restraint stress, Selank administration led to a decrease in corticosterone levels, reduced pathomorphological manifestations of stress exposure, and accelerated adaptation of the colon wall.12 Those are protective findings in damaged organs. They do not show what Selank does to a healthy liver or gut, and they are not a liver or kidney test in a person, which none of the studies covered here reports.

What is known about Selank and pregnancy?

animal model

Only a cell experiment, and its two findings need to be read together. A 2017 study tested several peptides, Selank among them, on the proliferation and survival of mouse embryonic stem cells and their derivatives.13 Its overall conclusion was that these peptide compounds do not produce toxic effect during the embryonic and fetal period of life.13 Yet the same work found that Selank cut the share of stem cells turning into GABA-making nerve cells, which use the brain's main calming signal, by 61 per cent compared with control cells.13 No toxic effect and a large shift in one type of developing nerve cell can both be true in a dish. What neither does is tell a reader anything about a pregnant woman, and no pregnancy study appears among these sources.

Can a course of Selank make anxiety worse?

animal model

One rat study raises the question, and its answer is more interesting than a yes or no. In rats not under stress, the authors found that the administration of a course of test substances changed anxiety indicators toward their deterioration, but the changes after the administration of a course of Selank were less pronounced.14 Put simply, a run of injections made unstressed rats more anxious in a maze, and Selank did this less than the comparison compounds did. The same study found the individual administration of Selank was the most effective in reducing elevated levels of anxiety, induced by the administration of a course of test substances, in those rats.14 So a course of Selank was not free of effect on anxiety in calm animals, but it was the mildest of the options tested. A maze result in rats does not tell a reader how a person feels after a course, and that has not been studied among these sources.

Why is Selank not FDA approved?

animal model

No application to the FDA appears among the research behind this page, and the trials that exist were run for a Russian approval process rather than an American one. A 2008 Russian paper describes Selank as a working element of a new peptide drug having completed the third phase of the clinical testing as a selective anxiolytic.5 Those phase 3 results are not among the published trials we could find, which are smaller studies of 60 to 70 patients without a placebo arm. A 2026 review covering selank among neuroactive peptides still records that there is a current lack of clinical trials.15 An approval in one country is a fact about one dossier and one regulator. It does not carry over, and the absence of a US approval means no American label, no American side-effect reporting system, and no agency standard for what is sold under the name.

Does the vial itself carry risk the compound does not?

in vitro

For Selank the clearest evidence on this is what the researchers did that a buyer cannot. The 2018 receptor study describes using HPLC to obtain and ensure reagents and Selank purity, HPLC being a laboratory method that separates a sample into its parts.4 The sequence they purified was the plain chain, Heptapeptide Selank (Thr-Lys-Pro-Arg-Pro-Gly-Pro).4 Every result on this page, good or bad, belongs to material checked that way. A vial bought outside that chain has not been checked by anyone named among these sources, and capped versions sold as N-acetyl Selank amidate are a different molecule from the one studied, as the Selank overview explains. Contamination, wrong content and loss of sterility would be risks of the vial rather than of Selank. The research does not tell a reader how common they are, because no analysis of sold Selank appears among these sources.

Why is the Selank harm record this thin?

human RCT

Because the research programme was built to show Selank worked as well as a tranquilliser, and to show it had fewer of a tranquilliser's problems, rather than to map its own harms. That framing runs through the trials. A 2015 study aimed to compare the efficacy and tolerability of monotherapy with phenazepam to complex treatment with the peptide preparation selank and phenazepam in patients with anxiety disorders.3 The 2008 trial measured anxiety on psychometric scales (Hamilton, Zung, CGI) and blood enzyme activity, with no side-effect scale named in its summary.10 Most of the work was also published in Russian-language journals, so the full methods and adverse-event tables are hard for an outside reader to check. A literature built to compare against a known problem tends to report that problem, and that is what this one does. It is a weaker basis for a harm record than a trial built to look for harm, which the research behind this page does not include.

What we don’t know

The gaps in the evidence matter as much as the findings.

  1. 01What side effects belong to Selank itself. The one trial using a formal side-effect scale reported fewer of phenazepam's side effects, and its summary lists none of Selank's own.
  2. 02What months or years of use do. The longest stated patient course among the sources behind this page is 14 days.
  3. 03Whether it is free of dependence or withdrawal. No study among the research behind this page measured either in people given Selank.
  4. 04How it interacts with medicines in people. Receptor and cell work shows it can block one effect of diazepam and olanzapine and boost another, and no human interaction study appears among these sources.
  5. 05What it does in pregnancy. The only related work is a mouse embryonic stem cell screen, which found no toxic effect and a 61 per cent fall in one type of developing nerve cell.
  6. 06Whether the rat organ findings apply to people. Liver and gut protection was seen in stressed rats, and no liver or kidney test in a person is reported here.
  7. 07What is in material sold as Selank. No analysis of sold material appears among the research behind this page, and the studied material was purified by the researchers themselves.

Sources

  1. 1[A comparison of the anxiolytic effect and tolerability of selank and phenazepam in the treatment of anxiety disorders] Zh Nevrol Psikhiatr Im S S Korsakova 2014. PMID 25176261human pilot / early trial
  2. 2The inhibitory effect of Selank on enkephalin-degrading enzymes as a possible mechanism of its anxiolytic activity Bull Exp Biol Med 2001. doi:10.1023/a:1017979514274human pilot / early trial
  3. 3[Optimization of the treatment of anxiety disorders with selank] Zh Nevrol Psikhiatr Im S S Korsakova 2015. doi:10.17116/jnevro20151156133-40human RCT
  4. 4Peptide-based Anxiolytics: The Molecular Aspects of Heptapeptide Selank Biological Activity Protein Pept Lett 2018. doi:10.2174/0929866525666180925144642in vitro
  5. 5[Effects of heptapeptide selank on genetically-based and situation-provoked symptoms of depression in behavior in WAG/Rij and Wistar rats, and in BALB/c mice] Zh Vyssh Nerv Deiat Im I P Pavlova 2008. PMID 18661785animal model
  6. 6[Immunomodulatory effects of selank in patients with anxiety-asthenic disorders] Zh Nevrol Psikhiatr Im S S Korsakova 2008. PMID 18577961human pilot / early trial
  7. 7Functional Connectomic Approach to Studying Selank and Semax Effects Dokl Biol Sci 2020. doi:10.1134/S001249662001007Xhuman pilot / early trial
  8. 8[COMPARISON OF PHARMACOLOGICAL EFFECTS OF HEPTAPEPTIDE SELANK AFTER INTRANASAL AND INTRAPERITONEAL ADMINISTRATION TO BALB/c AND C57BL/6 MICE.] Eksp Klin Farmakol 2016. PMID 29787664animal model
  9. 9Effect of Selank on Morphological Parameters of Rat Liver in Chronic Foot-Shock Stress Bull Exp Biol Med 2019. doi:10.1007/s10517-019-04512-1animal model
  10. 10[Efficacy and possible mechanisms of action of a new peptide anxiolytic selank in the therapy of generalized anxiety disorders and neurasthenia] Zh Nevrol Psikhiatr Im S S Korsakova 2008. PMID 18454096human RCT
  11. 11GABA, Selank, and Olanzapine Affect the Expression of Genes Involved in GABAergic Neurotransmission in IMR-32 Cells Front Pharmacol 2017. doi:10.3389/fphar.2017.00089in vitro
  12. 12Morphological Changes in the Large Intestine of Rats Subjected to Chronic Restraint Stress and Treated with Selank Bull Exp Biol Med 2020. doi:10.1007/s10517-020-04868-9animal model
  13. 13Studying the Toxic Effects of Some Biologically Active Peptides on the Model of Mouse Embryonic Stem Cells Bull Exp Biol Med 2017. doi:10.1007/s10517-017-3891-yanimal model
  14. 14Peptide Selank Enhances the Effect of Diazepam in Reducing Anxiety in Unpredictable Chronic Mild Stress Conditions in Rats Behav Neurol 2017. doi:10.1155/2017/5091027animal model
  15. 15Therapeutic Peptides in Orthopaedics: Applications, Challenges, and Future Directions J Am Acad Orthop Surg Glob Res Rev 2026. doi:10.5435/JAAOSGlobal-D-25-00236review